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Total Results: 3,730 records

Showing results for "consequences".

3441. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
      January 01, 2020 - Respiratory Depression (2) • PCA can result in critical respiratory depression events with significant consequences

3442. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
      August 29, 2021 - WebM&M Cases To Dilute or Not Dilute: Drug Errors and Consequences

3443. Order Interrupted by Text: Multitasking Mishap | PSNet
      psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
      August 21, 2015 - As illustrated in this case, mobile device use in hospitals can also have risks and negative consequences

3444. Peripheral IV in Too Long | PSNet
      psnet.ahrq.gov/web-mm/peripheral-iv-too-long
      September 15, 2011 - delayed recognition of catheter infection by inexperienced staff, until the development of serious consequences

3445. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest | PSNet
      psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
      February 01, 2023 - WebM&M Cases To Dilute or Not Dilute: Drug Errors and Consequences

3446. A Painful Medication Reconciliation Mishap | PSNet
      psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
      May 01, 2008 - Treatment is critical for reducing the adverse health, social, and other consequences of alcohol use

3447. Radiology Missed an Intracranial Bleed in a Lethargic Infant. | PSNet
      psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
      August 21, 2016 - Without these efforts, more serious consequences might have resulted.

3448. Hidden Mystery | PSNet
      psnet.ahrq.gov/web-mm/hidden-mystery
      December 01, 2011 - Due to the high prevalence of obesity in the United States and its negative health consequences, understanding

3449. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865412/psn-pdf
      March 27, 2024 - follow-up on abnormal laboratory results is not an uncommon system or process error and can lead to dire consequences

3450. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49506/psn-pdf
      March 01, 2006 - Clinical consequences of misinterpretations of neuroradiologic CT scans by on-call radiology residents

3451. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia | PSNet
      psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
      January 29, 2021 - WebM&M Cases To Dilute or Not Dilute: Drug Errors and Consequences

3452. Microsoft PowerPoint - Spotlight Case_Postop Cervical Hematomas_12.15.2022 FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdf
      January 01, 2023 - Predictors and consequences of hematoma after thyroidectomy: an American College of Surgeons National

3453. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
      January 01, 2024 - a procedure (gastric bypass surgery), aimed at treating a chronic health condition (obesity and its consequences

3454. Volume Too Low: In and Out | PSNet
      psnet.ahrq.gov/web-mm/volume-too-low-and-out
      July 01, 2017 - He required 2 days in the intensive care unit but did not experience any long-term consequences.  

3455. A Weighty Mistake | PSNet
      psnet.ahrq.gov/web-mm/weighty-mistake
      September 01, 2016 - This system has failed and will continue to fail—sometimes with disastrous consequences.

3456. Blind Spot | PSNet
      psnet.ahrq.gov/web-mm/blind-spot
      July 30, 2020 - WebM&M Cases To Dilute or Not Dilute: Drug Errors and Consequences

3457. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837791/psn-pdf
      August 05, 2022 - 10-year-analysis-based-medical-malpractice-claims exposure, false-positive results , psychological consequences

3458. Near Miss with Bedside Medications | PSNet
      psnet.ahrq.gov/web-mm/near-miss-bedside-medications
      February 01, 2006 - relative to medical errors Because of the lack of systematic mechanisms to capture errors and their consequences

3459. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. | PSNet
      psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
      August 25, 2021 - able to: Recognize common and serious pitfalls in diagnosis of Strongyloides and potential consequences

3460. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
      January 01, 2023 - Failure to do so can lead to tracheal and surrounding structure damage with severe clinical consequences